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HomeMy WebLinkAboutDolan, Bill ELIZABETH A.NEVILLE "104 yd • Town Hall, 53095 Main Road TOWN CLERK O P.O. Box 1179 REGISTRAR OF VITAL STATISTICS i Southold, New York 11971 MARRIAGE OFFICER ` G 1� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER 'y_ ! iNg �a� 6��, Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ���� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2793 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : BILL DOLAN Address 1 : 723 SPINC LAKE DRIVE City St Zip MIDDLE ISLAND NY 11958 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-02-0024 Name Of Owner DOLAN, BILL Mailing Address 1 723 SPRING LAKE DRIVE City St Zip MIDDLE ISLAND NY 11953 Property Address 1 725 JACOBS LANE City St Zip SOUTHOLD NY 11971 Tax Map No. section 88.00 block 1 lot 1 .003 Cross Street MAIN BAYVIEW Building Permit Number Cross Reference: Issue Date: 5/15/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ELIZABETH A.NEVILLE ,4����0 Dy Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS 1. i Southold, New York 11971 +' MARRIAGE OFFICER ,/ Fax (631) 765-6145 ,, RECORDS MANAGEMENT OFFICER \=y-7�1 .. •1Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER _ r�� southoldtown.northfork.net .... .••� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department4 Tog FROM: Linda J. Cooper, Southold Town Clerk's Office r.. DATED: April 3, 2002 Transmitted herewith is a copy of application No. 2895 for a Cesspool/Septic Tank CONSTRUCTION/ALTERATION Permit submitted by: Bill Dolan Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if this office may issue the permit. Please complete the form below and return it to me. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Maintain required setbacks from adjacent wells,buildings, property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. �� Aeled-c4; /�eiE�E e Signature 0 o D ?- Dated ;. • , MICE OF THE TOWN CLERK 1'l,��FF air�O TOWN OF SOUTHOLD ‘`.Application N � ELIZABETH A.NEVILLE,TOWN CLERKConstruction 9 P.O.BOX 1179 t../ SOUTHOLD,NEW YORK 11971 . p rn , Alteration ‘7.4 Telephone °,f, , � '�' ' $10.00 -Residential (631) 765-1800 O.1 > � 0 $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ y DATE ti/Z/Zoo 7- APPLICANT APPLICANT NAME: -Sill !)o �G.h APPLICANT ADDRESS: 713 Sprir�.q I-4c kt 'Dr Alia-60c IS 14 , y I/ icr SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION dl/ Eccj 12,(9 Ar-s r. LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: 3 r1/ lokin OWNER MAILING ADDRESS: -7 23 sill �Ihq L4k 1r' n%/4i le Isg,29( i'Jy !(� OWNER PROPERTY ADDRESS: 7Z5- c o 65 we c>4-Lo (al iu `f 11I7 TELEPHONE NUMBER OF CONTACT PERSON: 431- 205-- 7o1 z TAX MAP NO. : Section 'r Block 01 Lot f-3 CROSS STREET: i t 'i E,et BUILDING PERMIT NUMBER CROSS REFERENCE: ignature ofplicant RECEIVED BY: Town Clerk's Office DATE: H C:3 14_,., S 530, P../4 4.0 n 0:: Q). o ry F�``�c � ���`' � SURVEY OF 4'sFRt,� � �©�' ,. L 0 T 1 ®2 ( C��9 s0% I', MAP OF C),.... li :RFILU 'AItI a cy �"1. FILE No. 10596 FACED MARCH 27, 2001 ��� � �'� SITUATED AT - KI BAYVIEW , \ �' r- / TOWN OF SOUTHOLD �, � SUFFOLK COUNTY, NEW YORK o A � . /,, - / S.C. TAX No. 1000-88-01 -1 .3 �� V / 7"- 443. ""- SCALE 1'-= 40' /' � APRIL 10, 2001 _ / AREA 43,650.00 sq. f$. � . f t.002 ac. \ s I 1.• / / J CERTIFIED 7�1: ��sr WELL LOT® �' ` FIRST AMERICAN LAND TITLE INSURANCE COMPANY ' C. _: ., SUFFOLK COUNTY NATIONAL RANK i NIS ;;fi 34- WILLIAM OOLAN III 930. \ N N �� �+ ° Norms: I • gig \ t _ p -=-'r-7,F;',,-- ' 1. ELEVATIONS ARE REFERENCED TO AM ASSUMED DATUM ` .<----- R/ > EXISTING ELEVATORS ARE SHOMM THUS: l,5J X � MAP „•'^�.....^.-... i ;'`/' -t- Z. REFER TO TMMC FOR TEST FOR DATA.TO A BEDROOM AROUSE IS 1,000 GALLONS. . - .>. .,. . ..., .. .«..m..�., \ eai� ; `X' `.' FOR 1 TO 4 BEDROOM HOUSE IS 300 so SIDEMALL AREA. U}=FtOLK N z • MnRMu►I SEPTIC + 1 TANK: B• LONG, 4' 3' WIDE, 6• r DEEP (�+ 44.4.;.7'-15:::' '" f / \ 4. itkNMJM LEACHING SYSTEM ry a.Li}'f SE" F "� I� �s �� S',PI h -. 1-3 ! )1 ` Q \ 3 POOLS: 4' DEEP. 6' An.s^lfHa e7I? 'i 7p'f�lr ?, + ( CONSTRUCTION F 'y yr -_~4 i �r/ N 4 + PROPOSED EXPA1810N POOL 0.� era 'Y t^,,K,.1 (v i'1C ONLY Y CONO `� • l 1 j -� PROPOSED LEACHING POOL. } l • { / as, + � ��fjj PROPOSED STATIC TAS[ DA GL+,-T ♦ 6p• O r 5. THE LOCATION OF WELLS ARD CESSPOOLS SHOWN HEREON ARE FROM FIELD - M L t'.r i,? w '- _0 . . 00�114 ` G OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. APPROVED ` V \ AI ` 6. FLOOD ZONE INFORMATION TAKEN FROM: !'9.l��i o � O `a ((c777 F'1000 INSURANCEAS GATE MAP No. 36103C0166G •:�� /VII/ 201E x•: AREAS OF 500—YEAR FLOOD:AREAS OF ,OO-YEAR F1OM WITH AVERAGE r g /�+, DEPTH of LESS THAN , FOOT OR wrrH DRAINAGE AREAS LESS THAN FOR MAXIMUM 0; $r 3 1 SQUARE II[E AND AHREAs PROTECTED BY LEVEES FROM too—TEAR FT OOO. i '* ROOMSnvAL tl.\ ZOHE X: AREAS DETERMINED TO BE OUISIOE 500-YEAR FL.o0OPLAN. EXPIRES THREE YEARS . ,�,�� t �p �(b • . V "; a PREPARED M ACCORDANCE NTH THE WRIMUd COg2 • STANDARDS FDR DILE SURVEPS AS ESTABLISHED f -� 4 ~ �' yx SUCH USE BY THE HEW YORK STATE INC ig,?/1 x ''' 1°5 / -.. , / F..14'It. .,, IF . ..1,,Ci) -CD) , : 4-1•V 1 t°) * / ,.. ,s„,,, , , __ _., , 0 i . _ ...(c\>4.,. O ,,_ i NY.S. be. No. 49668 --d _ € g jh0",•�VJtIiOFOZED AI.TERATHON OR ADDITION 1 -a , ',AMON 7209 OF HIS SURVEY THE NEW YORK STATE Uw oseph A. Ingegno O „ rte, Y BE \) Land Surveyor �y. -- 1 TXXis INDICATED HEREON p, RUN 0. Y TO At D HIS 191401 ro lo Cho pyry N41 rrtle Surveys - Subdivisions - Site Roos - Construct°. Layout ASS OF THE LEHdNc eNSTI- • ASSIGNEE 1DNs ARE NOt TraMIS*E RABIF. PHONE (631)727-2090 Fax (631)727 1727 EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS --. --- ---_.-_--- -----------_----- ----- -----_---- --------.-- -- Amy/OR EASEMENTS Of RECORD, IF NOT SHOWN ARE NOT GUARANTEED. 1380 ROANOKE AVENUE P.O. BOX 19.31 RIVERHEAD, New Yak 11901 Riverhead, New Yak 11901-0965 iiiiiiiiimimmilimm.........1.1 .__ 21-251: